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.,_ . _ n 1 '�� <br />-- '.`z �:'•' •'°`� �r <br />, _ ._ � _ � . • _'�'''''� �• . <br />i : • . .'•�f�t: <br />�� <br />� � <br />Finance Department, License Division <br />2660 Civic Center Dr�ve, Raseva�Ie, MN 55113 <br />(651) 792-7034 <br />Solid Waste Hauler License Application <br />Fee Due: $125.00 Year �� {License wiii be for January 1 to December 3l .} <br />Business Name <br />�r'k Y i�� k.+ �i� $c :i�i ti� ��, iiti�. <br />Business Address �l���'���,��� ����� � <br />Business Phone �,��� ��� �. ��� � ��� ������ ST. <br />- a� a . �..� L"; �.�� <br />Contact Person _ <br />Email Address <br />�C" .�����'�,rr� <br />.. n - r� �. _ � <br />If completed license should be maiiec� somewhere other than the business address, please advise. <br />Solid waste collection will be provided to (check all that apply): <br />�/ Res�dential (single family, duplex, triplex, four�plex} <br />�lv�tcltiple Residential (apartment, condominium, manufactured home park, and townhouse) <br />/ <br />+� E ommerc�al/Industrial <br />Number of vehicles the applicant proposes to use in the collection of solid waste �. <br />Name and address of disposal or recycling facilities to which waste will be hauled: <br />Garbage Yard Waste <br />� ��� �i � 1�,L� � ���'�'i�d� _ :�� ������ <br />Brush � <br />�'���� � ,�'�`'�� <br />Additional��r�� such as appliunces <br />(attacix adtiitionaC sheet if n ecessrrry) <br />� a <br />�'��� �._ . <br />